OrganizationActive
Lakes Health and Wellness LLC
NPI 1902621980 · Family Nurse Practitioner · Ingleside, IL
Provider details
- NPI number
- 1902621980
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ashley Gallina, Owner(815) 363-2020
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
214 Washington St Ste 1
Ingleside, IL 60041-9208
Phone: (815) 363-2020
Fax: (224) 225-1003
Street-level locationGet directions
Mailing address
112 Golf View Dr
Spring Grove, IL 60081-9024
Additional practice locations (1)
- 112 Golf View DrSpring Grove, IL 60081-9024Phone: (815) 363-2020Fax: (224) 225-1003
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.